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EasyCardiologyHeart failure diagnosisau-amcau-racp

A 70-year-old man presents with increasing exertional dyspnoea and ankle swelling. He has a history of ischaemic heart disease. Examination reveals elevated JVP, bilateral basal crackles and pitting oedema. Chest X-ray shows pulmonary congestion. According to Australian heart failure guidelines, which investigation is most useful to confirm the diagnosis and guide classification?

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